Individual provider Active NPI

Carrie Carter, PT

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1063803021
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 23732 Issued in CA
Practice address
380 Sierra College Dr Ste 200
Grass Valley, CA 95945-5092
Phone
(530) 477-0893
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 23732 CA Primary

Addresses

Primary practice location

380 Sierra College Dr Ste 200
Grass Valley, CA 95945-5092

Mailing address

13660 Quarterhorse Dr
Grass Valley, CA 95949-8185
Phone (530) 263-3053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001919 CA Practitioner - Physical Therapist in Private Practice 4688955529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Rehabilitation Medical Associates IncGroup PAC ID 4880601673, 4 clinicians

Practice addresses (Care Compare)

380 Sierra College Dr
Suite 200
Grass Valley, CA 95945-5092
Phone (530) 477-0893

Merit-based Incentive Payment System (MIPS)

Final score
85.99 of 100Reported as group
Quality
82.48
Promoting interoperability
93
Improvement activities
40
Cost
76.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23732CAMDPharmacist
PT 23732CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MJ Silva Medical Corporation CurrentSince Nov 24, 2024 Accepting new patients
Mountain View Rehabilitation Medical Associates, Inc. CurrentSince Jan 1, 2017 Accepting new patients

Locations

380 Sierra College Dr
Ste 200
Grass Valley, CA 95945
Phone (530) 477-0893

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBBDA/Endpoint/EEBBDA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1063803021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 QUARTERHORSE DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498185",
            "telephone_number": "530-263-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SIERRA COLLEGE DR STE 200",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455092",
            "telephone_number": "530-477-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CARRIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 23732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.